| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
978 |
975 |
$46K |
| 76641 |
|
861 |
594 |
$40K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
635 |
633 |
$37K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
816 |
814 |
$31K |
| 74178 |
|
110 |
109 |
$24K |
| 76376 |
|
671 |
667 |
$12K |
| 74183 |
|
29 |
29 |
$10K |
| 76830 |
Ultrasound, transvaginal |
76 |
76 |
$3K |
| 70551 |
Magnetic resonance imaging, brain; without contrast material |
12 |
12 |
$3K |
| 76536 |
|
55 |
54 |
$1K |
| A9576 |
Injection, gadoteridol, (prohance multipack), per ml |
111 |
108 |
$1K |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
262 |
258 |
$985.40 |
| 71046 |
Radiologic examination, chest; 2 views |
30 |
30 |
$442.26 |
| A9579 |
Injection, gadolinium-based magnetic resonance contrast agent, not otherwise specified (nos), per ml |
30 |
28 |
$397.10 |
| 77072 |
|
41 |
41 |
$285.79 |